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Depression and anxiety among diabetics in primary care : a cross-sectional study

Published online by Cambridge University Press:  13 August 2021

R. Gniwa Omezzine ,
W. Bouali ,
A. Belguith Sriha  and
L. Zarrouk
R. Gniwa Omezzine
Affiliation:
Department Of Family Medicine. Tunisia., Monastir Faculty of Medicine, Mahdia, Tunisia
W. Bouali*
Affiliation:
Department Of Psychiatry, University Hospital Of Mahdia, Tunisia., Psychiatry, Mahdia, Tunisia
A. Belguith Sriha
Affiliation:
Department Of Community Medicine, Monastir Faculty of Medicine, Mahdia, Tunisia
L. Zarrouk
Affiliation:
Department Of Psychiatry, University Hospital Of Mahdia, Tunisia., Psychiatry, Mahdia, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Diabetes mellitus is one of the most frequent chronic diseases in Tunisia. Individuals with diabetes mellitus may have concurrent mental health disorders and are shown to have poorer disease outcomes.

Objectives

The aim of this study was to determine the prevalence of depression and anxiety in diabetics attending the primary care setting.

Methods

This was a cross-sectional survey carried out over two months and including diabetic patients followed up at the consultation for chronic diseases at the primary care center of Hiboun, in Mahdia, Tunisia. The validated Hosiptal Anxiety and Depression scale (HAD) questionnaire was used as a screening tool for the symptoms of depression and anxiety.

Results

A total of 64 patients (24 men and 40 women) was enrolled. The average age was 54.5 ± 7.2 years. The mean duration of diabetes was 8.2 ± 2.3 years. The average HbA1c level was 9.1%.Over 48% of patients were overweight. The prevalence of Depression and anxiety among patients with diabetes from our study was 29.6% and 40.6%, respectively. Depression was found to be significantly associated with marital status of widowed, HbA1c level of more than 8.5%, and a family history of psychiatric illness. anxiety was significantly associated with females, unmployement and HbA1c level of more than 8.5%.

Conclusions

Screening of high risk Type II diabetics for depression and anxiety symptoms in the primary care setting is recommended at regular intervals.

Keywords

diabetesanxietydepressioncross-sectional study
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S237
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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